Active NPI
Kelley Cox Rodriguez, RN
- Certified Registered Nurse Anesthetist
- Rocky Mount, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 128420
- Practice address
- 2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237 - Phone
- (252) 962-8000
- NPI assigned
- Jun 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 239133 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 128420 | NC | Primary |
Addresses
Primary practice location
2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Mailing address
1070 E 5TH St
Roanoke Rapids, NC 27870-2234
Phone (252) 532-4462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201013001445 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2668892654 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nash Hospitals IncVidant Medical Group LLC
Practice addresses (Care Compare)
2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8000
250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 535-8240
Hospital & facility affiliations
- Ecu Health North Hospital
- Unc Health Nash
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128420 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nash Hospitals Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nash Hospitals Inc | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients |
Locations
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Rocky Mount, NC
- NPI 1003881822
NC, Nurse Anesthetist, Certified Registered
-
- Land Ambulance
- Rocky Mount, NC
- NPI 1275374290
-
- Community Based Hospice Care Agency
- Rocky Mount, NC
- NPI 1174590137
-
- General Acute Care Hospital
- Rocky Mount, NC
- NPI 1619969219
-
- Rehabilitation Hospital Unit
- Rocky Mount, NC
- NPI 1952359036
-
- General Acute Care Hospital
- Rocky Mount, NC
- NPI 1972837961
-
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1376049619
-
- Cardiac Rehabilitation Clinic/Center
- Roanoke Rapids, NC
- NPI 1750125035
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roanoke Rapids, NC
- NPI 1346273943
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1801412176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 E 5TH ST",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278702234",
"telephone_number": "252-532-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 CURTIS ELLIS DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042237",
"telephone_number": "252-962-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KELLEY",
"middle_name": "COX",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-22",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "239133",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "128420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.